Mrs Kendra Amidon, LMT is a
Massage Therapist based in La Vista, Nebraska. Mrs Kendra Amidon is licensed to practice in Nebraska (license number 3340) and her current practice location is
12040 Mcdermott Plz Ste 320, La Vista, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 871-8469.
NPI number for Mrs Kendra Amidon is 1487169116 and her current mailing address is 8825 S 117th St, La Vista, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487169116.
Healthcare Provider's Profile
Full Name | Mrs Kendra Amidon |
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Gender | Female |
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Speciality | Massage Therapist |
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Location | 12040 Mcdermott Plz Ste 320, La Vista, Nebraska |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487169116
- Provider Enumeration Date: 12/04/2017
- Last Update Date: 10/03/2019
Medical Identifiers
Medical identifiers for Mrs Kendra Amidon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487169116 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 3340 (Nebraska) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kendra Amidon is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kendra Amidon, LMT 8825 S 117th St, La Vista, NE 68128-5567 Ph: (402) 871-8469 | Mrs Kendra Amidon, LMT 12040 Mcdermott Plz Ste 320, La Vista, NE 68128-2354 Ph: (402) 871-8469 |
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